How successful are Alvarado and air scores in excluding gynecopathologies?

IF 1.5 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Research Pub Date : 2025-08-23 DOI:10.1111/jog.70050

Goksever Akpinar, Batuhan Eyduran, Alaattin Karabulut, Baris Eker

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引用次数: 0

Abstract

Aim

Alvarado and acute inflammatory response (AIR) scoring systems are the most common clinical diagnostic scoring systems for the diagnosis of acute appendicitis. We investigated how successful these scorings are in terms of excluding urgent gynecological pathologies.

Methods

Patients who underwent emergency surgery by the general surgery team due to acute abdomen clinic in our hospital between 2018 and 2023 and were detected to have gynecological pathology during the operation were included in the study. General medical characteristics of the patients, preoperative laboratory values, findings in preoperative imaging, Alvarado and AIR scores, final diagnoses, and surgical procedures performed were recorded.

Results

A total of 78 patients were included in the study, 39 patients forming the case group and 39 patients forming the control group. No significant difference was found between the control and case groups in terms of the age of the patients, presence of additional diseases, and WBC value (p: 0.877, p: 0.092, p: 0.500). While the rate of normal findings on ultrasonography (USG) in the case group was significantly lower than in the control group (p: 0.001), the rate of normal findings on computed tomography (CT) was significantly higher than in the control group (p: 0.000). CRP value and length of stay in the case group were significantly higher than in the control group (p: 0.050, p: 0.000). There was no statistically significant relationship between Alvarado or AIR score of 9 or above and whether urgent gynecological pathology was detected (p: 0.073, p: 0.723).

Conclusions

It was observed that Alvarado and AIR scores failed to exclude urgent gynecological pathologies.

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阿尔瓦拉多和空气评分在排除妇科病理方面有多成功？

目的Alvarado评分系统和急性炎症反应（acute inflammatory response， AIR）评分系统是临床上诊断急性阑尾炎最常用的评分系统。我们调查了这些评分在排除紧急妇科疾病方面是如何成功的。方法选取2018 - 2023年因急腹症门诊在我院普外科组行急诊手术，术中发现妇科病理的患者作为研究对象。记录患者的一般医学特征、术前实验室值、术前影像学检查结果、Alvarado和AIR评分、最终诊断和手术过程。结果共纳入78例患者，其中病例组39例，对照组39例。对照组和病例组在患者年龄、有无其他疾病和WBC值方面无显著差异（p: 0.877, p: 0.092, p: 0.500）。病例组超声检查（USG）正常率明显低于对照组（p: 0.001），而CT检查（CT）正常率明显高于对照组（p: 0.000）。病例组CRP值和住院时间均显著高于对照组（p: 0.050, p: 0.000）。Alvarado评分、AIR评分9分及以上与是否发现妇科急症病理无统计学意义（p: 0.073, p: 0.723）。结论Alvarado评分和AIR评分不能排除妇科急症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Obstetrics and Gynaecology Research 医学-妇产科学

CiteScore

3.10

自引率

0.00%

发文量

376

审稿时长

3-6 weeks

期刊介绍： The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.